Clinic
ST Nicholas Hospital-Sisters of the Third Order of ST. Francis
ST Nicholas Hospital-Sisters of the Third Order of ST. Francis was paid $418K by Medicaid between Jan 2018 and Jan 2022, across 19 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 99% of everything it billed.
33Billing provider infoST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST. FRANCIS
SHEBOYGAN, WI 53081
SHEBOYGAN, WI 53081
33aNPI1427009992assigned 05/12/2006
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$418K
24GClaims37,650
24DCodes billed19
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Wisconsin
Rank by total paid#81 of 120
Median peer was paid$662K
This provider vs. median0.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,152 | $160K | |
| 2019 | 7,471 | $113K | |
| 2020 | 11,143 | $90K | |
| 2021 | 9,667 | $53K | |
| 2022 | 217 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 99% | 11,449 | 962 | $416K |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 4,720 | 390 | $1K |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | <1% | 2,473 | 693 | $257.73 |
| 80069 | <1% | 1,065 | 947 | $252.90 | |
| 84520 | <1% | 1,106 | 950 | $227.47 | |
| J1756 | Injection, iron sucrose, 1 mg | 0% | 1,275 | 284 | $0.00 |
| 83970 | 0% | 373 | 343 | $0.00 | |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | 0% | 801 | 355 | $0.00 |
| 85014 | 0% | 423 | 370 | $0.00 | |
| 83540 | 0% | 365 | 341 | $0.00 | |
| 83550 | 0% | 363 | 341 | $0.00 | |
| 85018 | 0% | 1,487 | 906 | $0.00 |
7 more codes
| J1270 | Injection, doxercalciferol, 1 mcg | 0% | 8,693 | $0.00 |
| 85027 | 0% | 975 | $0.00 | |
| Q5105 | Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units | 0% | 1,457 | $0.00 |
| 86803 | 0% | 108 | $0.00 | |
| 82728 | 0% | 370 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 79 | $0.00 |
| 86706 | 0% | 68 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSELLE, JUSTIN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Pike County Memorial Hospital | Bowling Green, MO | $326K |
| Pike County Memorial Hospital | Louisiana, MO | $310K |
| ST. Nicholas Hospital-Sisters of the Third Order of ST. Francis | Sheboygan, WI | $211K |
| Pike County Memorial Hospital | Bowling Green, MO | $54K |
| Pike County Memorial Hospital | Vandalia, MO | $344.24 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.